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1013935006
BRADLEY P BANGSTAD
GAINESVILLE, FL
NPI
1013935006
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Professional Name
BRAD BANGSTAD
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: FL OPC 1898)
Enumeration Date
2006-07-17
Last Update Date
2014-12-29
Business Address
BRADLEY P BANGSTAD O.D.
4220 NW 16TH BLVD
GAINESVILLE, FL 32605-3508
Phone number: 352-331-5440
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Mailing Address
BRADLEY P BANGSTAD O.D.
4220 NW 16TH BLVD
GAINESVILLE, FL 32605-3508
Phone number: 352-331-5440
Copy
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